Autumn Woods Residential Health Care Facility LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

504240 Issued in MI

Legal business name

AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC

Practice address

29800 Hoover Rd
Warren, MI 48093-3483

Phone

(586) 574-3444

NPI assigned

Aug 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth J Wolf

Title

Executive Vice President

Phone

(586) 574-3444

Specialties & licenses 1

Addresses

Tax ID family

Autumn Woods Residential HC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Autumn Woods Residential Health Care Facility LLC

  • Skilled Nursing Facility
  • Warren, MI
  • NPI 1205833175
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Dequann Spearman, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1639453228
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1821515719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 DELAWARE",
            "address_2": "SUITE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021204",
            "telephone_number": "716-826-2257",
            "fax_number": "716-819-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29800 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933483",
            "telephone_number": "586-574-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "586-574-3444"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "504240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Attisha
• Auburn Neurology Associates PC
• Auburn Sleep Labs, LLC
• Kathryn Aurand, PA-C
• Autumn Woods Residential Health Care Facility LLC
• Imelda Cua Avila, P.T.
• Avotre Health LLC
• Maher Kassem Awada, RPH
• Sam H Awada, MD
• Samuel Awada, RPH

• Skilled Nursing Facility in Warren, MI
• Providers in Warren, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.